Materiały źródłowe

• #1 Solitary rectal ulcer syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-ulcer/symptoms-causes/syc-20377749

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Signs and symptoms of solitary rectal ulcer syndrome include: Constipation, Rectal bleeding, Straining during bowel movements, Pain or a feeling of fullness in your pelvis, A feeling of incomplete passing of stool, Passing mucus from your rectum, Fecal incontinence, Rectal pain. […] Make an appointment with your doctor if you notice any signs or symptoms that worry you. […] Several other conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. […] Doctors believe stress or injury to the rectum may cause rectal ulcers to form.

• #2 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease, characterized by a combination of symptoms, clinical findings and histological abnormalities. […] Clinical features include rectal bleeding, copious mucus discharge, prolonged excessive straining, perineal and abdominal pain, feeling of incomplete defecation, constipation, and rarely, rectal prolapse. […] SRUS is difficult to treat, and various treatment strategies have been advocated, ranging from conservative management to a variety of surgical procedures. […] Several therapies such as topical medication, behavior modification supplemented by fiber and biofeedback, and surgery are also discussed. […] Patient education and behavioral modification are the first steps in the treatment of SRUS. […] The use of a high-fiber diet, in combination with stool softeners and bulking laxatives, and avoidance of straining have had varying responses.

• #3 Solitary rectal ulcer syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-ulcer/symptoms-causes/syc-20377749

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Signs and symptoms of solitary rectal ulcer syndrome include: Constipation, Rectal bleeding, Straining during bowel movements, Pain or a feeling of fullness in your pelvis, A feeling of incomplete passing of stool, Passing mucus from your rectum, Fecal incontinence, Rectal pain. […] Make an appointment with your doctor if you notice any signs or symptoms that worry you. […] Several other conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. […] Doctors believe stress or injury to the rectum may cause rectal ulcers to form.

• #4 Solitary rectal ulcer syndrome | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20377737/

  Solitary rectal ulcer syndrome is a rare condition thats often linked to chronic constipation. […] Solitary rectal ulcer syndrome is a rare and poorly understood disorder that often occurs in people with chronic constipation. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: […] For solitary rectal ulcer syndrome, some basic questions to ask your doctor include: […] Do I need treatment? […] What are my treatment options? […] Do I need to follow any dietary or activity restrictions?

• #5 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease, characterized by a combination of symptoms, clinical findings and histological abnormalities. […] Clinical features include rectal bleeding, copious mucus discharge, prolonged excessive straining, perineal and abdominal pain, feeling of incomplete defecation, constipation, and rarely, rectal prolapse. […] SRUS is difficult to treat, and various treatment strategies have been advocated, ranging from conservative management to a variety of surgical procedures. […] Several therapies such as topical medication, behavior modification supplemented by fiber and biofeedback, and surgery are also discussed. […] Patient education and behavioral modification are the first steps in the treatment of SRUS. […] The use of a high-fiber diet, in combination with stool softeners and bulking laxatives, and avoidance of straining have had varying responses.

• #6 Solitary rectal ulcer syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-ulcer/symptoms-causes/syc-20377749

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Signs and symptoms of solitary rectal ulcer syndrome include: Constipation, Rectal bleeding, Straining during bowel movements, Pain or a feeling of fullness in your pelvis, A feeling of incomplete passing of stool, Passing mucus from your rectum, Fecal incontinence, Rectal pain. […] Make an appointment with your doctor if you notice any signs or symptoms that worry you. […] Several other conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. […] Doctors believe stress or injury to the rectum may cause rectal ulcers to form.

• #7 Solitary Rectal Ulcer Syndrome Is Not Always Ulcerated: A Case Report

  https://www.mdpi.com/1648-9144/58/8/1136

  Solitary rectal ulcer syndrome (SRUS) is a benign and chronic disorder well known in young adults that is characterized by a series of symptoms such as rectal bleeding, copious mucus discharge, prolonged excessive straining, perineal and abdominal pain, a feeling of incomplete defecation, constipation and, rarely, rectal prolapse. […] Some medical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective. Apart from local medication, the treatment of SRUS also includes the improvement of bowel defecation habits, biofeedback and surgical operation. […] The diagnosis of SRUS can usually be performed by a combination of symptomatology, endoscopy and histology. However, patients sometimes have typical symptoms without typical endoscopic findings.

• #8 Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report

  https://www.wjgnet.com/2307-8960/full/v7/i15/2058.htm

  Solitary rectal ulcer syndrome (SRUS) is a rare rectal disorder characterized by bloody mucus in the stool, difficulty in defecation, pain, and anal swelling. […] The treatment of SRUS includes local medication, improvement of bowel defecation habits, biofeedback, and surgical operation. […] Chinese medicine therapy represents a potential treatment of SRUS with predominant rectal bleeding, mucinous discharge, and anal swelling pain. […] Solitary rectal ulcer syndrome (SRUS) is a benign but uncommon rectal disorder. […] Following our success of treatment with modified Tong Xie Yao Fang, we discuss how this traditional Chinese medicine prescription might be an effective treatment strategy for SRUS with this symptom profile. […] The diagnosis of SRUS is largely based on findings in rectoscopy and analysis of tissue biopsy.

• #9 Solitary rectal ulcer syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-ulcer/symptoms-causes/syc-20377749

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Signs and symptoms of solitary rectal ulcer syndrome include: Constipation, Rectal bleeding, Straining during bowel movements, Pain or a feeling of fullness in your pelvis, A feeling of incomplete passing of stool, Passing mucus from your rectum, Fecal incontinence, Rectal pain. […] Make an appointment with your doctor if you notice any signs or symptoms that worry you. […] Several other conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. […] Doctors believe stress or injury to the rectum may cause rectal ulcers to form.

• #10 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease, characterized by a combination of symptoms, clinical findings and histological abnormalities. […] Clinical features include rectal bleeding, copious mucus discharge, prolonged excessive straining, perineal and abdominal pain, feeling of incomplete defecation, constipation, and rarely, rectal prolapse. […] SRUS is difficult to treat, and various treatment strategies have been advocated, ranging from conservative management to a variety of surgical procedures. […] Several therapies such as topical medication, behavior modification supplemented by fiber and biofeedback, and surgery are also discussed. […] Patient education and behavioral modification are the first steps in the treatment of SRUS. […] The use of a high-fiber diet, in combination with stool softeners and bulking laxatives, and avoidance of straining have had varying responses.

• #11

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  Solitary rectal ulcer (SRUS) may mislead the inflammatory bowel disease (IBD) or rectal polyps, which may reduce the actual prevalence of it. Various treatments for SRUS have been described that can be referred to therapeutic strategies such as biofeedback, enema of corticosteroid, topical therapy, and rectal mucosectomy. Nevertheless, biofeedback should be considered as the first stage of treatment, while surgical procedures have been offered for those who do not respond to conservative management and biofeedback or those who have total rectal prolapse and rectal full-thickness. […] Treatment for SRUS is based on its symptoms (the severity of the disease) and presence of rectal prolapse. Asymptomatic patients may usually require behavioral changes, and other types of treatment may not be considered. It should be noted that a conservative, stepwise, patient education, and behavioral modification approach are the first proposed strategies. Patients who are asymptomatic or minimally symptomatic may be treated with bulk laxatives, bowel retraining, and reassurance.

• #12 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. […] Selecting appropriate treatment in this condition not only affects clinical outcome but also patients experience and further stigma of SRUS life-long. […] Treatment of SRUS is based on pathophysiology, the severity of symptoms, type of SRUS and presence of rectal prolapse. […] Patient education and behavior modification are the first and main steps in the treatment of SRUS. […] Behavior therapy such us biofeedback therapy (BFT) teach how you can relax your pelvic floor muscles and external anal sphincter (EAS) during bowel movement. […] Asymptomatic patients benefit from BFT and lifestyle changes.

• #13 Solitary rectal ulcer syndrome and enterocele in a 13-year-old boy

  https://www.termedia.pl/Solitary-rectal-ulcer-syndrome-and-enterocele-in-a-13-year-old-boy,41,21157,1,1.html

  Careful examination of the rectum and anorectal area, and performing a full ileocolonoscopy examination with multiple biopsy obtained from both pathologic and normal looking sites, are the most important diagnostic investigations of the children with rectal bleeding. […] Therefore, recognizing the presence of fibromuscular obliteration of the lamina propria is crucial to distinguish it from inflammatory bowel disease, the most common diagnostic confusion in children. […] Patient education and behavioral therapy remain the cornerstone of treatment of SRUS. […] Management must include patient reassurance that the underlying lesions are benign and the goals of therapy should be discussed with the patient and the family. […] Once the diagnosis is established the patient should be instructed on a high-fiber diet, use of laxatives and avoidance of straining. […] Solitary rectal ulcer syndrome however may be resistant to conservative treatment. […] Surgical methods are reserved for patients with SRUS refractory to conservative treatment and biofeedback or in those with significant mucosal prolapse.

• #14 A Case of Solitary Rectal Ulcer Syndrome in a 16-year-old Girl Presented with Iron Deficiency Anemia

  https://www.cpho.or.kr/journal/view.html?volume=23&number=1&spage=53&year=2016

  Solitary rectal ulcer syndrome (SRUS) is a rare condition that is most commonly characterized by rectal pain and bleeding. […] Considering its non-specific symptoms, it is often difficult to diagnose, particularly in children. […] The underlying etiology of SRUS is not fully understood; however, it may be secondary to ischemic changes in the rectum associated with paradoxical contraction of the pelvic floor and external anal sphincter muscles and rectal prolapse. […] The macroscopic appearance of the rectal lesion may vary from hyperemia to ulceration or a polypoid lesion that can mimic carcinoma, although the histological findings are characteristic, with fibromuscular obliteration of the lamina propria and dis-orientation of muscle fibers. […] We report an adolescent case of SRUS developed in a 16-year-old adolescent girl who presented with iron deficiency anemia.

• #15 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  A variety of therapies have been tried. Several therapies thought to be beneficial include topical medication, behavior modification supplemented by fiber and biofeedback, and surgery. […] Patient education and a conservative, stepwise individualized approach are important in the management of this syndrome.

• #16 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. […] Selecting appropriate treatment in this condition not only affects clinical outcome but also patients experience and further stigma of SRUS life-long. […] Treatment of SRUS is based on pathophysiology, the severity of symptoms, type of SRUS and presence of rectal prolapse. […] Patient education and behavior modification are the first and main steps in the treatment of SRUS. […] Behavior therapy such us biofeedback therapy (BFT) teach how you can relax your pelvic floor muscles and external anal sphincter (EAS) during bowel movement. […] Asymptomatic patients benefit from BFT and lifestyle changes.

• #17 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease, characterized by a combination of symptoms, clinical findings and histological abnormalities. […] Clinical features include rectal bleeding, copious mucus discharge, prolonged excessive straining, perineal and abdominal pain, feeling of incomplete defecation, constipation, and rarely, rectal prolapse. […] SRUS is difficult to treat, and various treatment strategies have been advocated, ranging from conservative management to a variety of surgical procedures. […] Several therapies such as topical medication, behavior modification supplemented by fiber and biofeedback, and surgery are also discussed. […] Patient education and behavioral modification are the first steps in the treatment of SRUS. […] The use of a high-fiber diet, in combination with stool softeners and bulking laxatives, and avoidance of straining have had varying responses.

• #18 Solitary rectal ulcer syndrome | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/solitary-rectal-ulcer-syndrome?content_id=CON-20377737

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: Increasing the amount of fiber in your diet. […] Drinking water throughout the day. Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #19 Solitary rectal ulcer syndrome | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/solitary-rectal-ulcer-syndrome?content_id=CON-20377737

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: Increasing the amount of fiber in your diet. […] Drinking water throughout the day. Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #20 Solitary rectal ulcer syndrome

  https://www.mymlc.com/health-information/diseases-and-conditions/s/solitary-rectal-ulcer-syndrome2/?section=Symptoms

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: Increasing the amount of fiber in your diet. […] Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass. […] Start by seeing your primary doctor if you have signs or symptoms that worry you. If your doctor suspects that you may have solitary rectal ulcer syndrome, you may be referred to a doctor who specializes in the digestive system (gastroenterologist).

• #21

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  At the time of diagnosis, patients should be advised to use a high-fiber diet and bulk laxatives. They also need to be trained for prevention of straining and anal digitation. The toilet habits (time spent in the toilet) should be adjusted and defecation training should be noted. It is noteworthy that dietary and behavioral changes, especially in patients with mild to moderate symptoms, can be dramatically effective in the absence of mucosal prolapse, which can help in the improvement and prevention of disease progression. […] Surgical treatment is recommended for patients who suffer from full-thickness or rectal mucosal prolapse or for those who are resistant to conservative management and biofeedback treatment. Options that are recommended for surgery include rectopexy, perineal proctectomy (Altemeier procedure), excision, diversion, as well as Delorme procedure as mucosal resection. Removing lesions or local excision has been successful, but remains unclear with long-term effects. Rectopexy is also intended to correct anal prolapse. Long-term results of antiprolapse surgery have been reported to substantially improve the resolution of symptoms in patients with resistant SRUS to medical treatment. In general, antiprolapsal surgery has led to a promising long-term outcome of about 60% of patients undergoing surgery.

• #22 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #23 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. […] Selecting appropriate treatment in this condition not only affects clinical outcome but also patients experience and further stigma of SRUS life-long. […] Treatment of SRUS is based on pathophysiology, the severity of symptoms, type of SRUS and presence of rectal prolapse. […] Patient education and behavior modification are the first and main steps in the treatment of SRUS. […] Behavior therapy such us biofeedback therapy (BFT) teach how you can relax your pelvic floor muscles and external anal sphincter (EAS) during bowel movement. […] Asymptomatic patients benefit from BFT and lifestyle changes.

• #24 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #25 Thieme E-Journals – Journal of Digestive Endoscopy / Abstract

  https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0043-1770922

  ObjectiveSolitary rectal ulcer syndrome (SRUS) is a chronic disorder of defecation presenting with bleed per rectum, mucorrhea, tenesmus, perianal discomfort, etc. […] Biofeedback training, lifestyle changes, and sucralfate enema were successful in about 87% of the patients at the end of 6 weeks and about 76% at the end of 12 weeks with surgery for rectal prolapse being performed in two of our patients. […] SRUS presents with a myriad of symptoms and requires a high index of suspicion by the treating physician(s).

• #26 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  Solitary Rectal Ulcer Syndrome (SRUS) is a rare but chronic condition that affects the rectum, leading to the development of a single or multiple ulcers. […] At DRHC Dubai, our team of specialists provides advanced diagnostic tools and tailored treatments to effectively manage SRUS and improve patient quality of life. […] Treatment for SRUS at DRHC Dubai is tailored to each patient based on the severity of the condition and its underlying cause. […] For mild to moderate cases, lifestyle changes can greatly improve symptoms: […] Biofeedback is a specialized therapy that helps patients improve muscle coordination and relax the pelvic floor during bowel movements. […] Medications can be used to treat symptoms and promote healing of the ulcers: […] For patients with severe SRUS or those who do not respond to conservative treatments, surgery may be necessary:

• #27 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #28 Challenges in Differentiating Between Solitary Rectal Ulcer Syndrome and Inflammatory Bowel Disease in the Pediatric Population | Tung | International Journal of Clinical Pediatrics

  https://www.theijcp.org/index.php/ijcp/article/view/422/374

  Furthermore, topical treatments such as sucralfate, salicylates, corticosteroids, sulfasalazine, mesalazine, and topical fibrin sealent have been shown to improve symptoms. […] If symptoms persist, gut directed biofeedback or behavioral therapy can be used, which helps reduce excessive straining associated with defecating. […] Both SRUS cases followed a conservative treatment plan where the former was treated with mesalamine, docusate, and increasing fiber intake. The latter was treated with mesalamine and docusate. Both treatments are ongoing and will be reassessed at the next follow-up visit.

• #29 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://www.wjgnet.com/1007-9327/full/v20/i3/738.htm

  Patient education and behavioral modification are the first steps in the treatment of SRUS. […] The use of a high-fiber diet, in combination with stool softeners and bulking laxatives, and avoidance of straining have had varying responses. […] However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms.

• #30 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #31 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #32 Solitary rectal ulcer syndrome

  https://www.mymlc.com/health-information/diseases-and-conditions/s/solitary-rectal-ulcer-syndrome2/?section=Symptoms

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: Increasing the amount of fiber in your diet. […] Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass. […] Start by seeing your primary doctor if you have signs or symptoms that worry you. If your doctor suspects that you may have solitary rectal ulcer syndrome, you may be referred to a doctor who specializes in the digestive system (gastroenterologist).

• #33 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  BFT and lifestyle changes in combination with stool softeners and bulks laxatives may help patients with mild to moderate symptoms without significant rectal mucosal prolapse. […] Improvement of clinical symptoms do not mean endoscopic healing. […] People with more severe signs and symptoms may require medical or surgical treatment. […] Surgery is recommended for refractory cases of SRUS despite lifestyle changes and medical treatment or for the patient with full thickness rectal mucosal prolapse. […] Careful patient selection for surgery is extremely important and cannot be overemphasized.

• #34 Clinical and laboratory characteristics of solitary rectal ulcer syndrome: a retrospective analysis of 36 case | Scientific Reports

  https://www.nature.com/articles/s41598-025-86324-0

  The primary objective of this study was to evaluate the clinical, laboratory, and histological characteristics of solitary rectal ulcer syndrome (SRUS) and assess the outcomes associated with various management strategies. […] The management of SRUS requires a multidisciplinary approach, beginning with conservative measures, such as dietary modification, bowel training, and biofeedback therapy aimed at correcting defecatory dysfunction. For patients who do not respond to these initial interventions, surgical options including rectopexy, mucosal resection, and fecal diversion may be necessary in severe cases. […] This study offers a comprehensive analysis of SRUS, emphasizing the importance of detailed clinical and laboratory evaluation. Hematochezia emerged as the most prevalent symptom, and ulcerative colitis was identified as the primary diagnosis. Significant associations were observed between various clinical parameters and patient outcomes, highlighting the necessity of a multidisciplinary approach in managing SRUS.

• #35 Solitary rectal ulcer syndrome – Wikipedia

  https://en.wikipedia.org/wiki/Solitary_rectal_ulcer_syndrome

  Solitary rectal ulcer syndrome (SRUS) is a chronic disorder of the rectal mucosa (the lining of the rectum). Treatment is by normalization of bowel habits, biofeedback, and other non-surgical measures. In more severe cases, various surgical procedures may be indicated. Conservative measures are the first line treatment for patients with no symptoms or only mild to moderate symptoms, and those who have no significant anatomical defect. Conservative management is focused on education of the patient and behavioral modification. Where indicated, conservative management may also involve treatment of psychological problems, and avoidance of anoreceptive sex (to prevent trauma to the rectum). Improvement in symptoms does not always equate to healing of the ulcer as seen on endoscopy. Surgery may be indicated for severe cases of SRUS (either severe symptoms, severe ulceration, or significant associated anatomical defect such as prolapse), or when conservative measures fail.

• #36 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  BFT and lifestyle changes in combination with stool softeners and bulks laxatives may help patients with mild to moderate symptoms without significant rectal mucosal prolapse. […] Improvement of clinical symptoms do not mean endoscopic healing. […] People with more severe signs and symptoms may require medical or surgical treatment. […] Surgery is recommended for refractory cases of SRUS despite lifestyle changes and medical treatment or for the patient with full thickness rectal mucosal prolapse. […] Careful patient selection for surgery is extremely important and cannot be overemphasized.

• #37 Rectal Ulcer: Overview and More

  https://www.verywellhealth.com/rectal-ulcer-overview-and-more-5216265

  Conservative treatment is the first choice when it comes to rectal ulcers. Education, behavioral changes, dietary changes, and other strategies that rely on biofeedback are the first line of treatment in most cases. […] Your healthcare provider will be able to suggest ways to manage your fecal incontinence while your condition is addressed. This might include using products like disposable undergarments or absorbent pads. You may also want to ask about support groups or other services that can help you cope with the emotional toll of your diagnosis. […] If you experience fecal incontinence or other leaking due to your rectal ulcers be sure to: Clean your skin as soon as possible after a bowel movement. Clean with a mild soap, rinse well, and pat dry. Use moisturizers. Avoid products or soaps that can dry the skin. Add a moisture barrier or skin sealant to prevent damage.

• #38 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #39 Rectal Ulcer: Overview and More

  https://www.verywellhealth.com/rectal-ulcer-overview-and-more-5216265

  Conservative treatment is the first choice when it comes to rectal ulcers. Education, behavioral changes, dietary changes, and other strategies that rely on biofeedback are the first line of treatment in most cases. […] Your healthcare provider will be able to suggest ways to manage your fecal incontinence while your condition is addressed. This might include using products like disposable undergarments or absorbent pads. You may also want to ask about support groups or other services that can help you cope with the emotional toll of your diagnosis. […] If you experience fecal incontinence or other leaking due to your rectal ulcers be sure to: Clean your skin as soon as possible after a bowel movement. Clean with a mild soap, rinse well, and pat dry. Use moisturizers. Avoid products or soaps that can dry the skin. Add a moisture barrier or skin sealant to prevent damage.

• #40 Rectal Ulcer: Overview and More

  https://www.verywellhealth.com/rectal-ulcer-overview-and-more-5216265

  Conservative treatment is the first choice when it comes to rectal ulcers. Education, behavioral changes, dietary changes, and other strategies that rely on biofeedback are the first line of treatment in most cases. […] Your healthcare provider will be able to suggest ways to manage your fecal incontinence while your condition is addressed. This might include using products like disposable undergarments or absorbent pads. You may also want to ask about support groups or other services that can help you cope with the emotional toll of your diagnosis. […] If you experience fecal incontinence or other leaking due to your rectal ulcers be sure to: Clean your skin as soon as possible after a bowel movement. Clean with a mild soap, rinse well, and pat dry. Use moisturizers. Avoid products or soaps that can dry the skin. Add a moisture barrier or skin sealant to prevent damage.

• #41 Rectal Ulcer: Overview and More

  https://www.verywellhealth.com/rectal-ulcer-overview-and-more-5216265

  Conservative treatment is the first choice when it comes to rectal ulcers. Education, behavioral changes, dietary changes, and other strategies that rely on biofeedback are the first line of treatment in most cases. […] Your healthcare provider will be able to suggest ways to manage your fecal incontinence while your condition is addressed. This might include using products like disposable undergarments or absorbent pads. You may also want to ask about support groups or other services that can help you cope with the emotional toll of your diagnosis. […] If you experience fecal incontinence or other leaking due to your rectal ulcers be sure to: Clean your skin as soon as possible after a bowel movement. Clean with a mild soap, rinse well, and pat dry. Use moisturizers. Avoid products or soaps that can dry the skin. Add a moisture barrier or skin sealant to prevent damage.

• #42 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #43

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  At the time of diagnosis, patients should be advised to use a high-fiber diet and bulk laxatives. They also need to be trained for prevention of straining and anal digitation. The toilet habits (time spent in the toilet) should be adjusted and defecation training should be noted. It is noteworthy that dietary and behavioral changes, especially in patients with mild to moderate symptoms, can be dramatically effective in the absence of mucosal prolapse, which can help in the improvement and prevention of disease progression. […] Surgical treatment is recommended for patients who suffer from full-thickness or rectal mucosal prolapse or for those who are resistant to conservative management and biofeedback treatment. Options that are recommended for surgery include rectopexy, perineal proctectomy (Altemeier procedure), excision, diversion, as well as Delorme procedure as mucosal resection. Removing lesions or local excision has been successful, but remains unclear with long-term effects. Rectopexy is also intended to correct anal prolapse. Long-term results of antiprolapse surgery have been reported to substantially improve the resolution of symptoms in patients with resistant SRUS to medical treatment. In general, antiprolapsal surgery has led to a promising long-term outcome of about 60% of patients undergoing surgery.

• #44 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://www.wjgnet.com/1007-9327/full/v20/i3/738.htm

  Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation. […] A variety of therapies have been tried. Several therapies thought to be beneficial include topical medication, behavior modification supplemented by fiber and biofeedback, and surgery. […] Patient education and a conservative, stepwise individualized approach are important in the management of this syndrome.

• #45 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  However, it would appear that conservative approaches are less useful when SRUS is associated with an advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or reducible external prolapse. […] Therefore, in patients whose symptoms are resistant to those conservative measures, a more organized form of behavioral therapy such as biofeedback appears promising. […] Topical treatments, including sucralfate, salicylate, corticosteroids, sulfasalazine, mesalazine and topical fibrin sealant, have been reported to be effective with various responses and improvement of symptoms. […] Surgery remains an option for patients not responsive to conservative measures and biofeedback. […] The indication for surgery is failure of conservative treatment to control severe symptoms, and the aim is to avoid formation of colostomy as a primary operation.

• #46

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  At the time of diagnosis, patients should be advised to use a high-fiber diet and bulk laxatives. They also need to be trained for prevention of straining and anal digitation. The toilet habits (time spent in the toilet) should be adjusted and defecation training should be noted. It is noteworthy that dietary and behavioral changes, especially in patients with mild to moderate symptoms, can be dramatically effective in the absence of mucosal prolapse, which can help in the improvement and prevention of disease progression. […] Surgical treatment is recommended for patients who suffer from full-thickness or rectal mucosal prolapse or for those who are resistant to conservative management and biofeedback treatment. Options that are recommended for surgery include rectopexy, perineal proctectomy (Altemeier procedure), excision, diversion, as well as Delorme procedure as mucosal resection. Removing lesions or local excision has been successful, but remains unclear with long-term effects. Rectopexy is also intended to correct anal prolapse. Long-term results of antiprolapse surgery have been reported to substantially improve the resolution of symptoms in patients with resistant SRUS to medical treatment. In general, antiprolapsal surgery has led to a promising long-term outcome of about 60% of patients undergoing surgery.

• #47 Solitary rectal ulcer syndrome | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/solitary-rectal-ulcer-syndrome

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] Surgical procedures used to treat solitary rectal ulcer syndrome include rectal prolapse surgery and surgery to remove the rectum. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include increasing the amount of fiber in your diet, trying bulk laxatives and stool softeners, and drinking water throughout the day.

• #48

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  At the time of diagnosis, patients should be advised to use a high-fiber diet and bulk laxatives. They also need to be trained for prevention of straining and anal digitation. The toilet habits (time spent in the toilet) should be adjusted and defecation training should be noted. It is noteworthy that dietary and behavioral changes, especially in patients with mild to moderate symptoms, can be dramatically effective in the absence of mucosal prolapse, which can help in the improvement and prevention of disease progression. […] Surgical treatment is recommended for patients who suffer from full-thickness or rectal mucosal prolapse or for those who are resistant to conservative management and biofeedback treatment. Options that are recommended for surgery include rectopexy, perineal proctectomy (Altemeier procedure), excision, diversion, as well as Delorme procedure as mucosal resection. Removing lesions or local excision has been successful, but remains unclear with long-term effects. Rectopexy is also intended to correct anal prolapse. Long-term results of antiprolapse surgery have been reported to substantially improve the resolution of symptoms in patients with resistant SRUS to medical treatment. In general, antiprolapsal surgery has led to a promising long-term outcome of about 60% of patients undergoing surgery.

• #49 Solitary rectal ulcer syndrome – The Midlands Bowel Clinic

  https://themidlandsbowelclinic.com/diagnosis/solitary-rectal-ulcer-syndrome-2/

  Use laxatives or stool softeners if constipation is persistent […] Pelvic floor physiotherapy to improve bowel coordination and reduce pressure on the rectum. […] If lifestyle changes do not improve symptoms, additional treatments may be recommended: […] Topical medications, such as sucralfate enemas or corticosteroids, to help heal the ulcer and reduce inflammation […] Biofeedback therapy to retrain the pelvic floor muscles and improve bowel function […] Treatment of underlying conditions, such as rectal prolapse, which may be contributing to SRUS. […] In severe cases where symptoms do not respond to conservative treatments, surgery may be necessary. Procedures may include: […] Rectopexy Used to treat rectal prolapse, securing the rectum in place to prevent further damage […] Excision of the ulcer Rarely performed but may be considered if the ulcer is persistent and causing significant symptoms

• #50 Solitary rectal ulcer syndrome | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/solitary-rectal-ulcer-syndrome

  Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. […] Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. […] Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. In severe cases, however, surgery may be needed. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] Surgical procedures used to treat solitary rectal ulcer syndrome include rectal prolapse surgery and surgery to remove the rectum. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include increasing the amount of fiber in your diet, trying bulk laxatives and stool softeners, and drinking water throughout the day.

• #51 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #52

  https://journals.lww.com/md-journal/fulltext/2018/05040/solitary_rectal_ulcer_syndrome__a_systematic.18.aspx

  At the time of diagnosis, patients should be advised to use a high-fiber diet and bulk laxatives. They also need to be trained for prevention of straining and anal digitation. The toilet habits (time spent in the toilet) should be adjusted and defecation training should be noted. It is noteworthy that dietary and behavioral changes, especially in patients with mild to moderate symptoms, can be dramatically effective in the absence of mucosal prolapse, which can help in the improvement and prevention of disease progression. […] Surgical treatment is recommended for patients who suffer from full-thickness or rectal mucosal prolapse or for those who are resistant to conservative management and biofeedback treatment. Options that are recommended for surgery include rectopexy, perineal proctectomy (Altemeier procedure), excision, diversion, as well as Delorme procedure as mucosal resection. Removing lesions or local excision has been successful, but remains unclear with long-term effects. Rectopexy is also intended to correct anal prolapse. Long-term results of antiprolapse surgery have been reported to substantially improve the resolution of symptoms in patients with resistant SRUS to medical treatment. In general, antiprolapsal surgery has led to a promising long-term outcome of about 60% of patients undergoing surgery.

• #53 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #54 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. […] Selecting appropriate treatment in this condition not only affects clinical outcome but also patients experience and further stigma of SRUS life-long. […] Treatment of SRUS is based on pathophysiology, the severity of symptoms, type of SRUS and presence of rectal prolapse. […] Patient education and behavior modification are the first and main steps in the treatment of SRUS. […] Behavior therapy such us biofeedback therapy (BFT) teach how you can relax your pelvic floor muscles and external anal sphincter (EAS) during bowel movement. […] Asymptomatic patients benefit from BFT and lifestyle changes.

• #55 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #56 Solitary rectal ulcer syndrome – The Midlands Bowel Clinic

  https://themidlandsbowelclinic.com/diagnosis/solitary-rectal-ulcer-syndrome-2/

  Colostomy Only recommended in extreme cases when other treatments have failed. […] Expert colorectal specialists with experience in diagnosing and treating SRUS […] Advanced diagnostic tools, including defecating proctogram and anorectal physiology testing […] Minimally invasive treatment options for faster recovery and symptom relief […] Personalised treatment plans tailored to your specific symptoms and needs.

• #57 Best Solitary Rectal Ulcer Syndrome Specialist in Bengaluru

  https://www.medicoverhospitals.in/diseases/solitary-rectal-ulcer-syndrome/specialist/bengaluru

  Doctors at Medicover in Bengaluru provide specialized care for Solitary Rectal Ulcer Syndrome, addressing symptoms such as rectal bleeding and pain. They offer comprehensive evaluation and treatment, including dietary management and medication, to alleviate discomfort and improve quality of life for patients with Solitary Rectal Ulcer Syndrome. […] Solitary Rectal Ulcer Syndrome can be treated at Medicover, Bengaluru through various options such as dietary modifications, fiber supplements, biofeedback therapy, and in some cases, surgery. Specialized care for Solitary Rectal Ulcer Syndrome is available to address patient concerns and provide tailored treatment plans.

• #58 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  If SRUS is linked to an underlying condition, such as rectal prolapse or chronic constipation, addressing the root cause is essential for long-term symptom relief. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Our approach focuses on the individual needs of each patient, with customized treatment plans that address both symptoms and underlying causes. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #59 Solitary rectal ulcer syndrome – The Midlands Bowel Clinic

  https://themidlandsbowelclinic.com/diagnosis/solitary-rectal-ulcer-syndrome-2/

  Excessive use of digital manipulation to assist in passing stools. […] SRUS symptoms can vary, with some people experiencing mild discomfort while others have significant bowel issues. Common symptoms include: […] Rectal bleeding, often seen as blood on toilet paper or in stools […] Mucus discharge from the rectum […] A sensation of incomplete emptying, leading to frequent trips to the toilet […] Straining during bowel movements […] Rectal pain or discomfort […] Constipation or diarrhoea […] A feeling of a lump or fullness in the rectum. […] Many cases of SRUS can be managed without surgery by improving bowel habits and reducing strain: […] Increase fibre intake to soften stools and prevent constipation […] Stay hydrated by drinking plenty of fluids […] Avoid excessive straining during bowel movements

• #60 Solitary Rectal Ulcer Syndrome – Birmingham Pelvic Floor Clinic

  https://birminghampelvicfloorclinic.com/conditions/solitary-rectal-ulcer-syndrome/

  Solitary rectal ulcer syndrome is not very common. Patients have inflammation and thickening in the rectum sometimes this is associated with an internal rectal prolapse (intusseception). […] The common symptoms are those of the obstructed defaecation syndrome. These include the desire to strain excessively, the feeling of incomplete evacuation and fruitless visits to the lavatory. […] If symptoms are minimal then no treatment may be necessary. Keeping the stools soft and avoiding straining should help. Sometimes glycerine suppositories or an irrigation system can be used to help with emptying. Pelvic floor physiotherapy/biofeedback may help some patients to retrain their pelvic floor muscles and improve symptoms. In some cases where the solitary rectal ulcer syndrome is associated with a significant internal prolapse a rectopexy to pull up the bowel may be recommended.

• #61 Solitary Rectal Ulcer Syndrome – Birmingham Pelvic Floor Clinic

  https://birminghampelvicfloorclinic.com/conditions/solitary-rectal-ulcer-syndrome/

  Solitary rectal ulcer syndrome is not very common. Patients have inflammation and thickening in the rectum sometimes this is associated with an internal rectal prolapse (intusseception). […] The common symptoms are those of the obstructed defaecation syndrome. These include the desire to strain excessively, the feeling of incomplete evacuation and fruitless visits to the lavatory. […] If symptoms are minimal then no treatment may be necessary. Keeping the stools soft and avoiding straining should help. Sometimes glycerine suppositories or an irrigation system can be used to help with emptying. Pelvic floor physiotherapy/biofeedback may help some patients to retrain their pelvic floor muscles and improve symptoms. In some cases where the solitary rectal ulcer syndrome is associated with a significant internal prolapse a rectopexy to pull up the bowel may be recommended.

• #62 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  A variety of therapies have been tried. Several therapies thought to be beneficial include topical medication, behavior modification supplemented by fiber and biofeedback, and surgery. […] Patient education and a conservative, stepwise individualized approach are important in the management of this syndrome.

• #63 Solitary rectal ulcer syndrome and enterocele in a 13-year-old boy

  https://www.termedia.pl/Solitary-rectal-ulcer-syndrome-and-enterocele-in-a-13-year-old-boy,41,21157,1,1.html

  Careful examination of the rectum and anorectal area, and performing a full ileocolonoscopy examination with multiple biopsy obtained from both pathologic and normal looking sites, are the most important diagnostic investigations of the children with rectal bleeding. […] Therefore, recognizing the presence of fibromuscular obliteration of the lamina propria is crucial to distinguish it from inflammatory bowel disease, the most common diagnostic confusion in children. […] Patient education and behavioral therapy remain the cornerstone of treatment of SRUS. […] Management must include patient reassurance that the underlying lesions are benign and the goals of therapy should be discussed with the patient and the family. […] Once the diagnosis is established the patient should be instructed on a high-fiber diet, use of laxatives and avoidance of straining. […] Solitary rectal ulcer syndrome however may be resistant to conservative treatment. […] Surgical methods are reserved for patients with SRUS refractory to conservative treatment and biofeedback or in those with significant mucosal prolapse.

• #64 Solitary Rectal Ulcer Syndrome: A Narrative Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819965/

  Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. […] Selecting appropriate treatment in this condition not only affects clinical outcome but also patients experience and further stigma of SRUS life-long. […] Treatment of SRUS is based on pathophysiology, the severity of symptoms, type of SRUS and presence of rectal prolapse. […] Patient education and behavior modification are the first and main steps in the treatment of SRUS. […] Behavior therapy such us biofeedback therapy (BFT) teach how you can relax your pelvic floor muscles and external anal sphincter (EAS) during bowel movement. […] Asymptomatic patients benefit from BFT and lifestyle changes.

• #65

  https://bcsrj.com/ojs/index.php/bcsrj/article/view/477

  Solitary rectal ulcer syndrome is a multifaceted condition influenced by several clinical, histological, and endoscopic features. […] Treating this condition, especially in cases of relapse or non-responsiveness, requires a methodical and logical approach. […] Solitary rectal ulcer syndrome was observed in 25 (6.8%) patients. […] The study concluded that there is a high frequency of Solitary rectal ulcer syndrome (SRUS) among patients presenting with rectal bleeding. […] Solitary rectal ulcer syndrome (SRUS) was significantly associated with increasing age, socioeconomic status, diabetes, hypertension, and obesity. […] All clinicians treating such patients should anticipate Solitary rectal ulcer syndrome (SRUS) for early diagnosis and proper management, which will improve their prognosis and quality of life.

• #66 Solitary rectal ulcer syndrome and enterocele in a 13-year-old boy

  https://www.termedia.pl/Solitary-rectal-ulcer-syndrome-and-enterocele-in-a-13-year-old-boy,41,21157,1,1.html

  Careful examination of the rectum and anorectal area, and performing a full ileocolonoscopy examination with multiple biopsy obtained from both pathologic and normal looking sites, are the most important diagnostic investigations of the children with rectal bleeding. […] Therefore, recognizing the presence of fibromuscular obliteration of the lamina propria is crucial to distinguish it from inflammatory bowel disease, the most common diagnostic confusion in children. […] Patient education and behavioral therapy remain the cornerstone of treatment of SRUS. […] Management must include patient reassurance that the underlying lesions are benign and the goals of therapy should be discussed with the patient and the family. […] Once the diagnosis is established the patient should be instructed on a high-fiber diet, use of laxatives and avoidance of straining. […] Solitary rectal ulcer syndrome however may be resistant to conservative treatment. […] Surgical methods are reserved for patients with SRUS refractory to conservative treatment and biofeedback or in those with significant mucosal prolapse.

• #67 Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3921483/

  A variety of therapies have been tried. Several therapies thought to be beneficial include topical medication, behavior modification supplemented by fiber and biofeedback, and surgery. […] Patient education and a conservative, stepwise individualized approach are important in the management of this syndrome.

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